Cancer mortality rates are higher in a 29-county area of Eastern North Carolina than in the state's other 71 counties combined; within this 29-county subregion, African Americans have higher cancer mortality rates than whites. Better integration of health promotion and structural changes that improve health care access and delivery are needed to reduce these disparities.
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http://dx.doi.org/10.18043/ncm.75.4.287 | DOI Listing |
PLoS One
June 2023
South Carolina SmartState Center for Healthcare Quality, Columbia, South Carolina, United States of America.
Background: Timely linkage to care (LTC) is key in the HIV care continuum, as it enables people newly diagnosed with HIV (PNWH) to benefit from HIV treatment at the earliest stage. Previous studies have found LTC disparities by individual factors, but data are limited beyond the individual level, especially at the county level. This study examined the temporal and geographic variations of county-level LTC status across 46 counties in South Carolina (SC) from 2010 to 2018 and the association of county-level characteristics with LTC status.
View Article and Find Full Text PDFBMJ Open
September 2020
Department of Internal Medicine, Section of Cardiovascular Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Objective: To identify county characteristics associated with high versus low well-being among high-poverty counties.
Design: Observational cross-sectional study at the county level to investigate the associations of 29 county characteristics with the odds of a high-poverty county reporting population well-being in the top quintile versus the bottom quintile of well-being in the USA. County characteristics representing key determinants of health were drawn from the Robert Wood Johnson Foundation County Health Rankings and Roadmaps population health model.
J Gen Intern Med
November 2015
Division of General Internal Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Background: The range of hospital charges for similar diagnoses show tremendous variability across U.S. hospitals.
View Article and Find Full Text PDFN C Med J
January 2015
North Carolina Agromedicine Institute; AgriSafe Network of North Carolina, Department of Public Health, Brody School of Medicine, East Carolina University, Greenville, North Carolina, USA.
Background: Agriculture is a hazardous, stressful occupation that can adversely affect farmers' health. Identifying stressors among farmers may help health professionals improve health outcomes by developing targeted intervention strategies and services.
Methods: Over a 4-month period, we conducted a cross-sectional study of 128 farmers in an economically disadvantaged, 29-county region of Eastern North Carolina.
N C Med J
October 2014
Doctor of Nursing Practice Program, Adult Geriatric and Family Nurse Practitioner Concentrations, College of Nursing, East Carolina University, Greenville, North Carolina, USA.
Cancer mortality rates are higher in a 29-county area of Eastern North Carolina than in the state's other 71 counties combined; within this 29-county subregion, African Americans have higher cancer mortality rates than whites. Better integration of health promotion and structural changes that improve health care access and delivery are needed to reduce these disparities.
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